What do you do when a parent refuses to go to a nursing home?

Asked by Rosie03  |  Oct 9, 2008

My mother and her sister both are terrified of Nursing homes. My mother is nearly 85 and when I can get her assets in order, I need to put her in a nursing home. Problem is, she still knows me, but doesn't recognize she is home, that my dad (her husband) has been dead nearly 16 years and her mama's been dead around ten years. She has difficulty speaking a complete sentence and identifying things, like her cigarette lighter. She can't drive, cook, or be trusted to take her meds correctly. BUT, legally, you can't put anyone in a nursing home who doesn't want to go. It's a good law, but not always the best thing for a person like my mother. I've been caring for her six years now and have finally come to terms with the fact she'd be better off and I would too if she were in a nursing home. How can I get her admitted when the time comes if she refuses? I've heard if she went into the hospital, I could refuse to take her back to her home since there's nobody to care for her. As for my aunt, she's a little more coherent than mama, but cannot drive to get groceries or her meds. She lives alone and her daughters have health issues of their own and can no longer take care of her, but she refuses to accept this and won't go to a nursing home. She's fallen several times and had to lay there till she could (painfully) get to a phone and call for help. But my aunt knows where she is and what day it is, etc. She is just too stuborn to go to a nursing home, believing it's her daughters' moral obligation to care for her, no matter how exhausted, overwhelmed or ill they are. But before their mother, I'm more concerned about how to get my own mother into a nursing home. She somehow can remember she can't be forced to go. We live in Texas. I know laws vary from state to state. I guess my main question is, if a person poses a threat to themselves, can't care for themselves, is there a legal way to have them commited to a nursing home? Hope I don't sound like I don't love her because I do.

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Carol Bradley Bursack, Jul 7, 2009

Over the span of two decades author, columnist and speaker Carol Bradley Bursack cared for a neighbor and six elderly family members. Because of this experience, Bradley Bursack created a portable support group, the book "Minding Our Elders: Caregivers Share Their Personal Stories."

 

Hi Sunshine, (ah, yes - those typos: ),

Third party help is so vital with a lot of these decisions. Elders don't often (understandably) want to "take orders" from their adult kids, no matter how well it is said or how good our intentions. Much better to have a doctor, pastor or good friend to help with these things.

Carol

 
 

heavyload

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Jul 6, 2009

Hi to all,
I have been in contact with an ElderCare attorney about my mother and he says that unless a person has been declared incompetent they have a right to refuse anything. Get your doctor to evaluate her mental abilities and then contact an attorney to help you with this. It is so important to get all your i's dotted and t's crossed.

 
 

eaton45320

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Nov 21, 2008

My mother is having the same issue with my grandmother here in Ohio. Somehow after a mild stroke and a stay in the hospital with all the medical team observing her frailties and cognitive issues she managed to convince them to send her home. My mother is physically unable to care for her the way she needs. Grandma has fallen more than 13 times in the past year. Any help regarding this issue is greatly needed and appreciated.

 
 

lindam

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Nov 21, 2008

I have no info on the nursing home issue for either of you, but is it feasible to have home health care for either situation? There are many good agencies and individuals who do this work. It can be paid for out of pocket or medicare helps sometimes. I wish the best for all concerned. And don't worry Rosie, no one is thinking you don't care about your mom. These choices have to be made and this is a good sight for info and support. So keep posting or go to another comment and post again , someone with answers will get back to you. Same for you eaton. Ya'll just hang in there and you will get some info. Thanks for joining us, we look forward to hearing from you again. God Bless

 
 

195Austin

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Nov 21, 2008

Lindam
You are a joy to this site-I always enjoy your postings.

 
 

Ho, Rosie03. Maybe a good first step would be to have a private consult with your Mom's doctor to clearly state that you are unable to provide at-home-care for your Mom and your personal observation is that your Mom poses a direct threat to herself. Then, ask the doctor to intervene in a follow-up visit where you and your Mom's doctor spell it out for her. I am sure it is hard for your Mom to hear her daughter convey the long-term care message to her, but hearing from her doctor at the same time may be the reality jolt she needs to know that there is no more running away from the message. I never knew about that nursing home admission law. On the one hand, I am glad it exists, but I can see where it would be extremely difficult for someone in your situation. If your Mom's doctor doesn't help, get another party to help you with the reality intervention with your Mom-- preferably someone who is not in the family and will help to get the message across. It just seems like there is a special intervention needed, much like when someone is not facing an addiction problem and needs to be confronted with love.

 
 

And, of course, that would be 'Hi, Rosie;' not "ho, Rosie!" Forgive my typo!

 
 

xbassman

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Jul 5, 2009

I am in Texas also and am the caregiver for my 88 yr old Mother. I can see a nursing home in her near future but was unaware of the "refuse to go" law. We are going on vacation and plan to put Mother in a nursing home for what is called "Respite Care", which is defined as a break for the caregiver. They receive the same services as full time residence in the home but she is charged a by the day fee, where I live in Cent. Texas it is approx. $80 day. We were thinking when we come back off our 3 week vacation just leaving her there. Sounds awful but it is the only way we can see to get her there. I have not bounced this off her doctor but plan to prior to leaving on vacation. Anyone have input on my plan - good or bad?

 
 

xbassman

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Jul 6, 2009

Thanks for the input. Gives me some more ammunition to use.

 
 

HeidiD

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Jul 6, 2009

Respite is a wonderful alternative and you may find that she truly enjoys the social interaction that she will have . good food and friends. Assisted Living is no where near a nursing home and it is truly a joyful experience for them. she may decide to stay when you get back home from your vacation! I have seen it happen and it is always a surprise to the familly. I deal with this daily and the families.

 

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